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目的:探讨无锡市孕产妇死亡原因及影响因素,提出降低孕产妇死亡率的干预措施。方法:根据无锡市2005～2009年孕产妇死亡个案表、调查报告和专家评审组的评审结果进行回顾性分析并提出干预措施。结果:5年中无锡市孕产妇死亡22例,其中本地户籍人口(户籍人口)8例,流动人口14例。孕产妇死亡原因户籍人口前3位依次为内科疾病、羊水栓塞和其他;流动人口为产科出血、羊水栓塞、妊娠期高血压疾病和其他。专家评审结果为可以避免死亡9例,占40.91%;创造条件可以避免4例,占18.18%;不可避免9例,占40.91%。结论:孕产妇死亡是由医学和社会诸多因素相互影响的结果,降低孕产妇死亡率应政府重视,社会多方面、多部门合作,共同努力才能取得成效。流动人口孕产妇管理是今后较长时间内需要探讨、解决的问题。
Objective: To investigate the causes and influencing factors of maternal mortality in Wuxi and propose interventions to reduce maternal mortality. Methods: According to the maternal death case list, the investigation report and the expert review group ’s assessment results from 2005 to 2009 in Wuxi City, the retrospective analysis and the intervention were made. Results: In the five years, 22 maternal deaths occurred in Wuxi City, among which 8 were local census register population and 14 were floating population. Causes of maternal death The top 3 census populations were followed by medical diseases, amniotic fluid embolism and others; the floating population was obstetric bleeding, amniotic fluid embolism, gestational hypertension and others. The results of expert assessment were 9 deaths (40.91%), 4 avoidance cases (18.18%), 9 inevitable (40.91%) avoidance cases. Conclusion: Maternal death is caused by the interaction between medical and social factors. Reducing the maternal mortality rate should be paid more attention by the government, with various social and multi-sectoral cooperation and joint efforts to achieve results. Maternal management of floating population is a problem that needs to be explored and solved for a long time in the future.